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漏诊的内侧锁骨骨骺骨折-后脱位合并头臂干假性动脉瘤：1 例报告。

Missed Medial Clavicular Physeal Fracture-Posterior Dislocation Complicated by Brachiocephalic Pseudoaneurysm: A Case Report.

机构信息

Department of Orthopedics, University of Massachusetts Chan Medical Center, Worcester, Massachusetts.

University of Massachusetts Chan Medical Center, Worcester, Massachusetts.

出版信息

JBJS Case Connect. 2024 Aug 22;14(3). doi: e24.00180. eCollection 2024 Jul 1.

DOI:10.2106/JBJS.CC.24.00180
PMID:39172876
Abstract

CASE

We present a 17-year-old male patient with an initially missed posterior sternoclavicular fracture dislocation who presented with symptoms related to thrombotic emboli arising from a pseudoaneurysm. He was treated 6 weeks after injury with a figure-of-eight tendon allograft repair with good clinical outcomes.

CONCLUSION

This is a unique presentation that highlights the significant risk of a missed diagnosis, life-threatening complications that may ensue, and biomechanically superior surgical intervention.

摘要

病例

我们报告了 1 例最初漏诊的胸锁关节后脱位的 17 岁男性患者，其症状与假性动脉瘤引起的血栓栓塞有关。患者在受伤后 6 周接受了八字肌腱同种异体移植物修复，临床结果良好。

结论

这是一种独特的表现，突出了漏诊的巨大风险、可能随之而来的危及生命的并发症，以及生物力学上更优的手术干预。

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JBJS Case Connect. 2024 Aug 22;14(3). doi: e24.00180. eCollection 2024 Jul 1.
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